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0 - Normal vision: sees adequately in most situations; can see medication labels, newsprint.
1 - Partially impaired: cannot see medication labels or newsprint, but can see obstacles in path, and the surrounding layout; can count fingers at arm's length.
2 - Severely impaired: cannot locate objects without hearing or touching them, or patient nonresponsive
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0 - Understands: clear comprehension without cues or repetitions.
1 - Usually Understands: understands most conversations, but misses some part/intent of message. Requires cues at times to understand.
2 - Sometimes Understands: understands only basic conversations or simple, direct phrases. Frequently requires cues to understand.
3 - Rarely/Never Understands
UK - Unable to assess understanding
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0 - Patient has no pain
1 - Patient has pain that does not interfere with activity or movement
2 - Less often than daily
3 - Daily, but not constantly
4 - All of the time
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True
False
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True
False
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0 - Newly epithelialized
1 - Fully granulating
2 - Early/partial granulation
3 - Not healing
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